Individual
DR. VINCENT J HONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 W FOREST AVE STE 210, FLAGSTAFF, AZ 86001-1481
(928) 773-2547
(928) 773-2548
Mailing address
5343 E PALOMINO RD, PHOENIX, AZ 85018-1911
(602) 677-2798
(928) 773-2548
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
19895
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105892
—
AZ
01
—
120390
MEDICARE GROUP NUMBER
AZ
01
—
317047
MEDICAID GROUP NUMBER
AZ
Enumeration date
02/03/2006
Last updated
08/29/2024
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